Is it advisable to do exercise when affected by Cervical Dystonia / Spasmodic Torticollis? Which activities would you suggest and how intense should they be?

Exercise and Cervical Dystonia / Spasmodic Torticollis

Cervical dystonia, also known as spasmodic torticollis, is a neurological disorder characterized by involuntary muscle contractions in the neck, causing abnormal head movements and postures. If you are affected by cervical dystonia, you may wonder if exercise is advisable and what activities would be suitable for you.

Consult a healthcare professional: Before starting any exercise program, it is crucial to consult with a healthcare professional who is familiar with your condition. They can provide personalized advice based on your specific needs and limitations.

Benefits of exercise: Engaging in regular exercise can have several benefits for individuals with cervical dystonia. It can help improve muscle strength, flexibility, and overall physical fitness. Exercise may also promote better posture, reduce pain and discomfort, and enhance mood and well-being.

Low-impact activities: When it comes to exercise, it is generally recommended to focus on low-impact activities that minimize strain on the neck and spine. These activities can help improve muscle control and coordination without exacerbating symptoms. Some suitable options include:

• Walking: Walking is a low-impact aerobic exercise that can be easily modified to suit your fitness level. Start with shorter durations and gradually increase the distance and pace as tolerated.


• Swimming: Swimming and water aerobics are excellent choices as they provide resistance without putting stress on the neck. The buoyancy of water can also help support the body and reduce strain.


• Yoga: Gentle yoga poses and stretching exercises can help improve flexibility, balance, and posture. It is important to choose poses that do not strain the neck and to avoid any movements that worsen symptoms.


• Tai Chi: This ancient Chinese martial art focuses on slow, controlled movements and deep breathing. Tai Chi can help improve balance, coordination, and relaxation.

Intensity and duration: The intensity and duration of exercise should be tailored to your individual capabilities and comfort level. Start with shorter sessions and gradually increase the duration as your fitness improves. It is important to listen to your body and avoid overexertion, as pushing too hard can lead to increased muscle spasms and pain.

Warm-up and cool-down: Prior to exercising, it is essential to warm up your muscles with gentle movements and stretches. This can help reduce the risk of injury and prepare your body for activity. Similarly, cooling down with light stretches after exercise can help prevent muscle stiffness and soreness.

Monitoring and adjustments: Pay close attention to how your body responds to exercise. If certain activities or movements worsen your symptoms or cause discomfort, it may be necessary to modify or avoid them. Regularly communicate with your healthcare professional to discuss any changes in your condition or exercise routine.

Conclusion: While exercise can be beneficial for individuals with cervical dystonia, it is important to approach it with caution and seek guidance from a healthcare professional. Low-impact activities that focus on improving muscle control and flexibility are generally recommended. Remember to start slowly, listen to your body, and make any necessary adjustments to ensure a safe and effective exercise routine.